Mankhwala oterewa, monga Duphaston, panthawi yoyembekezera nthawi zambiri amatchulidwa. Iye amatchula gulu la mankhwala ophera mahomoni omwe amathandiza kuthetsa ndondomeko ya kugonana. Taganizirani mwatsatanetsatane wa mankhwalawa, mudziwe zizindikiro zogwiritsiridwa ntchito kwake, tidzakhalapo pazochitika za polojekitiyi, fufuzani momwe mungamweretse Dufaston pa nthawi ya mimba.
Kodi Dufaston amagwiritsira ntchito chiyani poyembekezera?
Sikuti amayi onse akudikira maonekedwe a mwanayo amadziwa chifukwa chake Duphaston akulembedwera kwa amayi apakati, ndipo akuyankha funsoli kwa dokotala. Madokotala amanena kuti mankhwalawa ndi analog of progesterone. Mankhwalawa amachokera ku dydrogesterone, yomwe imapangidwanso ndi katundu ndi ofanana kwambiri ndi hormone yomwe imapangidwira thupi lachikazi.
Mankhwalawa akhoza kuperekedwa ponseponse pa siteji ya kukonzekera mimba , ndipo itatha kuyambira, mwachangu. Zomwe zimagwiritsidwa ntchito zimakonzekera endometrium chifukwa cha kukhazikika kwina - kuika dzira la fetus mu khoma la uterine. Mwamsanga kuchokera pa nthawi ino ikuyamba kugonana. Madokotala, akuika Dufaston pa nthawi ya mimba, tsatirani zolinga izi:
- kukhazikitsa bwino;
- kupewa kupewa mimba;
- Kukonzekera kachitidwe ka kubereka pofuna kukonzekera.
Dufaston m'mimba yoyambirira
Kawirikawiri, Duphaston pamene ali ndi mimba, m'masiku ake oyambirira, amauzidwa kwa amayi omwe adakumana ndi mavuto m'mbuyomo ndi kutenga mwana. Matenda amodzi ndi kupititsa padera. Ponena za kuphwanya izi, madokotala amati ngati 2 kapena kuposa mimba yayimitsidwa poyamba. Pa nthawi yomweyo iwo sanadutse milungu 12. Duphaston ndi kuyambira kwa mimba kumachepetsa kuthekera kwa vutoli ndikuthandizira kubereka mwanayo.
Kodi mungatenge bwanji Dufaston pa nthawi ya mimba?
Asanayambe kutenga Dufaston, amayi apakati ayenera kuwona dokotala. Iye amadziŵa mwachindunji zenizeni za mimba imeneyi, amafufuza anamnesis a mayi wamtsogolo. Malingana ndi deta yomwe imapezeka, njira imodzi ya mankhwala imakonzedwa - mlingo, kuchulukitsa komanso nthawi yayitali yogwiritsiridwa ntchito mankhwala akukhazikitsidwa. Kawirikawiri, mankhwalawa amatengedwa kuchokera pa masabata 6-7 a mimba.
Mlingo wa Duphaston pa mimba
Tiyenera kudziwa kuti mankhwalawa amatchulidwa kawirikawiri asanayambe kubereka, pa siteji ya kukonza mimba. Pofuna kukhazikitsa ntchito ya mahomoni, mayi yemwe akukhala mayi, amatenga Dufaston kwazaka 6. Imwani kuyambira masiku khumi ndi asanu ndi awiri (25) (kumapeto kwa masiku 28). N'zotheka komanso njira ina yolandirira, yomwe imapangidwa ndi dokotala aliyense payekha.
Pambuyo pa mimba, amayi akuyembekezera akupitiriza kumwa Dufaston panthawi yoyembekezera. Kuwopsa kwa mankhwala osakaniza mankhwala sikungatheke - kuchepetsa kuchuluka kwa progesterone yamadzi m'magazi kungayambitse kuperewera kwa pathupi . Malinga ndi mlingo, kusiyana kwake kwapakati pa nthawiyi ndi piritsi limodzi 2 pa tsiku (20 mg pa tsiku).
Kodi Dufaston amamwa mochuluka bwanji panthawi yoyembekezera?
Kubvomerezeka Dufastona atakhala ndi pakati nthawi zonse ayenera kugwirizanitsidwa ndi dokotala. Mwachindunji simukuwonetsa mlingo wokhawokha, komanso nthawi ya kumwa mankhwala. Zimadalira mlingo wa kuphwanya ndi kuuma kwake. Ngati tilankhula za nthawi yoyenera kuchotsa mankhwala, ndiye kuti zimachitika sabata lachisanu ndi chimodzi. Azimayi omwe ali ndi pakati amasiya kumwa mankhwala pa sabata 16, monga momwe adalangizidwira.
Kuti adziwe ngati amaletsa mankhwalawa kapena apitirize kuchipatala, madokotala amapereka mayeso a ma laboratory. Amayambitsa ndondomeko yeniyeni ya progesterone yamagazi m'magazi a mayi wamtsogolo. Mwadzidzidzi zotsatira za kafukufuku zimapangitsanso ndondomeko yowonjezera ya zochita za dokotala yemwe akupezekapo. Pankhaniyi, amayi oyembekezera ayenera kutsatira malangizo a zachipatala.
Dufaston - zotsatira za mimba
Kugwiritsiridwa ntchito kwa Dufaston mu mimba kumakhudzana ndi kuthekera kwa kukhala ndi zotsatira zoyipa. Mwinamwake chitukuko chawo chikuwonjezeka pamene mayeza omwe adatchulidwa ndi dokotala sakuwonetsedwa, kuchuluka kwa nthawi yomwe amagwiritsa ntchito mankhwala. Zina mwa zotsatira zoyipa pamene mugwiritsa ntchito mankhwala:
- mutu;
- chisokonezo;
- chizungulire;
- kuchotseratu kumaliseche;
- zosavomerezeka.
Ngati chimodzi mwaziphuphuzi zachitika, muyenera kuonana ndi dokotala. Chodabwitsa ichi chiyenera kukhala chifukwa chobwezeretsa mlingo kapena kuchuluka kwa kugwiritsa ntchito mankhwala. Nthawi zambiri, m'malo mwa mankhwala omwewo. Mosamala mugwiritseni ntchito mankhwalawa m'mayesero omwe anachitidwa kale ndi njira yotchedwa estrogen therapy (kugwiritsa ntchito mankhwala opatsirana pogonana kuphatikizapo). Kutenga estrogens ndi progesterone nthawi imodzi kumapangitsa kuti pakhale vuto la thrombosis.
Contraindications Duphaston mu mimba
Ngakhale ndi zizindikiro zogwiritsiridwa ntchito, mapiritsi a Dufaston pa nthawi ya mimba sangagwiritsidwe ntchito ndi amayi onse amtsogolo. Chifukwa cha izi, asanayambe kumwa mankhwalawa, dokotala ayenera kufufuza mosamala mbiri ya mayi wapakati, osatengera matenda ena. Zina mwa izo ndi:
- Matenda a Rotor;
- matenda a mtima;
- Matenda a Dabin-Johnson;
- shuga;
- matenda a impso;
- kuyabwa.
Ndingathetse bwanji Duphaston panthawi yoyembekezera?
Kuthetsedwa kwa Dufaston pa nthawi ya mimba kuyenera kukhala pang'onopang'ono. Chiwembuchi chimapangidwa payekha, ndipo chimadalira mlingo umene mayi atenga. Tsiku lililonse, amachepetsedwa ndi tebulo la 0.5-1. Mwachitsanzo, ngati atapatsidwa dokotala mayi wamtsogolo adatenga mapiritsi atatu a mankhwala tsiku ndi tsiku, ndiye tsiku lirilonse mlingowo umachepetsedwa ndi mapiritsi 1-0.5. Potsirizira pake, lekani kumwa mankhwala pambuyo pa masiku 3-6. Kuonetsetsa kuti pulojekitiyi imachotsedwa ndi dokotala sikungapangitse kuti progesterone iwonongeke m'magazi.